Doctor Name: | KATHERINE TOWNLEY |
NPI Number: | 1053724708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 017568 |
Business Practice Address: | 222 Route 59 Suite 205 Suffern, NY - 109015204 |
Business Phone Number: | 8453680286 |
Business Fax Number: | |
Mailing Address: | 222 Route 59, Suite 205 SUFFERN |
State: | NY |
Postal Code: | 109015204 |
Phone Number: | 8453680286 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2014 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 017568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |